Healthcare Provider Details

I. General information

NPI: 1871025403
Provider Name (Legal Business Name): IONA MACHADO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2017
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

582 MARKET ST STE 812
SAN FRANCISCO CA
94104-5309
US

IV. Provider business mailing address

582 MARKET ST STE 812
SAN FRANCISCO CA
94104-5309
US

V. Phone/Fax

Practice location:
  • Phone: 415-922-9122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA157026
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number340521
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: